| Entity Name: | THE ELITE CARE COMPANY I, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Mar 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000057205 |
| FEI/EIN Number | 824683497 |
| Mail Address: | 2212 S Chickasaw Trail, Orlando, FL, 32825, US |
| Address: | 507 Albatross Dr, Kissimmee, FL, 34759, US |
| ZIP code: | 34759 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649834466 | 2019-04-26 | 2019-04-26 | 507 ALBATROSS DR UNIT A, KISSIMMEE, FL, 347594411, US | 507 ALBATROSS DR UNIT A, KISSIMMEE, FL, 347594411, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-209-0000 |
| Fax | 8634965872 |
Authorized person
| Name | KEYONDA L WASHINGTON |
| Role | AGENCY DIRECTOR |
| Phone | 9412090000 |
Taxonomy
| Taxonomy Code | 372500000X - Chore Provider |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | Yes |
| Taxonomy Code | 374J00000X - Doula |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101487400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WASHINGTON KEYONDA | Agent | 2212 S Chickasaw Trail, Orlando, FL, 32825 |
| Name | Role | Address |
|---|---|---|
| WASHINGTON KEYONDA | Manager | 2212 S Chickasaw Trail, Orlando, FL, 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-06 | 507 Albatross Dr, Kissimmee, FL 34759 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-07-22 | 2212 S Chickasaw Trail, #453, Orlando, FL 32825 | No data |
| REINSTATEMENT | 2020-07-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-22 | 507 Albatross Dr, Kissimmee, FL 34759 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-22 | WASHINGTON, KEYONDA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-07-30 | No data | No data |
| LC AMENDMENT | 2018-06-11 | No data | No data |
| LC AMENDMENT | 2018-03-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| REINSTATEMENT | 2020-07-22 |
| LC Amendment | 2018-07-30 |
| LC Amendment | 2018-06-11 |
| LC Amendment | 2018-03-13 |
| Florida Limited Liability | 2018-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
